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NPI Code Detail

MEDICARE: DR. JAMES R GULLETT M.D.

MEDICARE: DR. JAMES R GULLETT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianD7065TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
183048GOTHERTXBLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number : 1811990864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES R GULLETT M.D.
Provider Business Mailing Address
First Line : 7900 FANNIN ST STE 4000
Second Line : OBGYN MEDICAL CENTER ASSOCIATES, PLLC
City : HOUSTON
State : TX
Zip : 77054-2935
Country : US
Telephone Number : 713-512-7500
Fax Number : 713-512-7624
Provider Business Practice Location Address
First Line : 7900 FANNIN ST STE 4000
Second Line : OBGYN MEDICAL CENTER ASSOCIATES, PLLC
City : HOUSTON
State : TX
Zip : 77054-2935
Country : US
Telephone Number : 713-512-7500
Fax Number : 713-512-7624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/03/2015

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